Provider Demographics
NPI:1205333887
Name:NGUYEN, HARRISON PHU (MD, MBA, MPH)
Entity type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:PHU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD, MBA, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8145 HIGHWAY 6
Mailing Address - Street 2:BUILDING B, SUITE 100
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:346-771-3990
Mailing Address - Fax:346-771-4009
Practice Address - Street 1:8145 HIGHWAY 6
Practice Address - Street 2:BUILDING B, SUITE 100
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:346-771-3990
Practice Address - Fax:346-771-4009
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2025-05-22
Deactivation Date:2025-04-28
Deactivation Code:
Reactivation Date:2025-05-22
Provider Licenses
StateLicense IDTaxonomies
TXU4286207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery